Medical Dialogues
  • Dermatology
Login Register
This site is intended for healthcare professionals only
Login Register
  • Medical Jobs
  • Medical Matrimony
  • MD Brand Connect
  • MDTV
    • Breaking News
    • Medical News Today
    • Health News Today
    • Latest
    • Journal Club
    • Medico Legal Update
    • Latest Webinars
    • MD Shorts
    • Health Dialogues
Medical Dialogues
  • Medical News & Guidelines
      • Anesthesiology
      • Cardiology and CTVS
      • Critical Care
      • Dentistry
      • Dermatology
      • Diabetes and Endocrinology
      • ENT
      • Gastroenterology
      • Medicine
      • Nephrology
      • Neurology
      • Obstretics-Gynaecology
      • Oncology
      • Ophthalmology
      • Orthopaedics
      • Pediatrics-Neonatology
      • Psychiatry
      • Pulmonology
      • Radiology
      • Surgery
      • Urology
      • Laboratory Medicine
      • Diet
      • Nursing
      • Paramedical
      • Physiotherapy
  • Health news
      • Doctor News
      • Government Policies
      • Hospital & Diagnostics
      • International Health News
      • MCI News
      • Medical Organization News
      • Medico Legal News
      • NBE News
      • NMC News
  • AYUSH
    • Ayurveda
    • Homeopathy
    • Siddha
    • Unani
    • Yoga
  • State News
      • Andaman and Nicobar Islands
      • Andhra Pradesh
      • Arunachal Pradesh
      • Assam
      • Bihar
      • Chandigarh
      • Chattisgarh
      • Dadra and Nagar Haveli
      • Daman and Diu
      • Delhi
      • Goa
      • Gujarat
      • Haryana
      • Himachal Pradesh
      • Jammu & Kashmir
      • Jharkhand
      • Karnataka
      • Kerala
      • Ladakh
      • Lakshadweep
      • Madhya Pradesh
      • Maharashtra
      • Manipur
      • Meghalaya
      • Mizoram
      • Nagaland
      • Odisha
      • Puducherry
      • Punjab
      • Rajasthan
      • Sikkim
      • Tamil Nadu
      • Telangana
      • Tripura
      • Uttar Pradesh
      • Uttrakhand
      • West Bengal
  • Medical Education
      • Ayush Education News
      • Dentistry Education News
      • Medical Admission News
      • Medical Colleges News
      • Medical Courses News
      • Medical Universities News
      • Nursing education News
      • Paramedical Education News
      • Study Aborad
  • Industry
      • Health Investment News
      • Health Startup News
      • Medical Devices News
      • Pharma News
      • Pharmacy Education News
      • Industry Perspective
  • MDTV
      • Health Dialogues MDTV
      • Health News today MDTV
      • Latest Videos MDTV
      • Latest Webinars MDTV
      • MD shorts MDTV
      • Medical News Today MDTV
      • Medico Legal Update MDTV
      • Top Videos MDTV
      • Health Perspectives MDTV
      • Journal Club MDTV
This site is intended for healthcare professionals only
LoginRegister
Medical Dialogues
LoginRegister
  • Home
  • Medical news & Guidelines
    • Anesthesiology
    • Cardiology and CTVS
    • Critical Care
    • Dentistry
    • Dermatology
    • Diabetes and Endocrinology
    • ENT
    • Gastroenterology
    • Medicine
    • Nephrology
    • Neurology
    • Obstretics-Gynaecology
    • Oncology
    • Ophthalmology
    • Orthopaedics
    • Pediatrics-Neonatology
    • Psychiatry
    • Pulmonology
    • Radiology
    • Surgery
    • Urology
    • Laboratory Medicine
    • Diet
    • Nursing
    • Paramedical
    • Physiotherapy
  • Health news
    • Doctor News
    • Government Policies
    • Hospital & Diagnostics
    • International Health News
    • MCI News
    • Medical Organization News
    • Medico Legal News
    • NBE News
    • NMC News
  • AYUSH
    • Ayurveda
      • Ayurveda Giuidelines
      • Ayurveda News
    • Homeopathy
      • Homeopathy Guidelines
      • Homeopathy News
    • Siddha
      • Siddha Guidelines
      • Siddha News
    • Unani
      • Unani Guidelines
      • Unani News
    • Yoga
      • Yoga Guidelines
      • Yoga News
  • State News
    • Andaman and Nicobar Islands
    • Andhra Pradesh
    • Arunachal Pradesh
    • Assam
    • Bihar
    • Chandigarh
    • Chattisgarh
    • Dadra and Nagar Haveli
    • Daman and Diu
    • Delhi
    • Goa
    • Gujarat
    • Haryana
    • Himachal Pradesh
    • Jammu & Kashmir
    • Jharkhand
    • Karnataka
    • Kerala
    • Ladakh
    • Lakshadweep
    • Madhya Pradesh
    • Maharashtra
    • Manipur
    • Meghalaya
    • Mizoram
    • Nagaland
    • Odisha
    • Puducherry
    • Punjab
    • Rajasthan
    • Sikkim
    • Tamil Nadu
    • Telangana
    • Tripura
    • Uttar Pradesh
    • Uttrakhand
    • West Bengal
  • Medical Education
    • Ayush Education News
    • Dentistry Education News
    • Medical Admission News
    • Medical Colleges News
    • Medical Courses News
    • Medical Universities News
    • Nursing education News
    • Paramedical Education News
    • Study Aborad
  • Industry
    • Health Investment News
    • Health Startup News
    • Medical Devices News
    • Pharma News
      • CDSCO (Central Drugs Standard Control Organisation) News
    • Pharmacy Education News
    • Industry Perspective
  • Home
  • Surgery
  • Surgery News
  • Modified ligation...

Modified ligation procedure or stapled haemorrhoidectomy, which is better for treating symptomatic hemorrhoids?

Medha BaranwalWritten by Medha Baranwal Published On 2022-06-28T09:00:08+05:30  |  Updated On 2022-06-28T14:15:21+05:30
Modified ligation procedure or stapled haemorrhoidectomy, which is better for treating symptomatic hemorrhoids?

China: Modified ligation procedure for prolapsed hemorrhoids (MLPPH) is documented to be a cost-effective approach compared to stapled haemorrhoidectomy (SH), a recent study in BJS Open has revealed.MLPPH was, however, a longer procedure that provided short-term pain, achieved a better clinical therapeutic effect, and lower Wexner and hemorrhoid severity scores than SH for the treatment...

China: Modified ligation procedure for prolapsed hemorrhoids (MLPPH) is documented to be a cost-effective approach compared to stapled haemorrhoidectomy (SH), a recent study in BJS Open has revealed.

MLPPH was, however, a longer procedure that provided short-term pain, achieved a better clinical therapeutic effect, and lower Wexner and hemorrhoid severity scores than SH for the treatment of symptomatic hemorrhoids.

The study was conducted by Wei Chen, Shanghai University of Traditional Chinese Medicine, Shanghai, P.R. China, and colleagues with the objective compare a modified ligation procedure versus stapled haemorrhoidectomy in patients with symptomatic hemorrhoids.

The randomized trial included patients with symptomatic hemorrhoids treated in Shanghai from May 2018 to September 2021. 133 patients were randomly assigned in a ratio of 1:1 to receive a ligation procedure for prolapsed hemorrhoids (MLPPH; n=67) and SH (n=66). 

The assessment of efficacy 6 months after the intervention was the study's primary outcome. Incidence of complications, operating time, clinical effectiveness (pain, Wexner incontinence, hemorrhoid symptom severity (HSS) scores, and 6-month cure rate) were collected. Adoption of quality-adjusted life years (QALYs) was done as an indicator for the cost-effectiveness analysis (CEA). 

The study revealed the following findings:

  • One patient in the MLPPH group was excluded, and two patients were lost to follow-up.
  • The mean operating time was longer in MLPPH than in SH (57.42 min versus 30.68 min).
  • The median pain score was higher in SH than in MLPPH at postoperative day 3, day 7, and day 14.
  • The median Wexner incontinence score was higher in SH than in MLPPH at postoperative month 1 and month 3, but was similar in the two groups at month 6.
  • The median HSS score was lower in MLPPH than in SH 6 months after surgery.
  • The 6-month cure rate was higher in MLPPH than in SH.
  • CEA showed lower mean costs in MLPPH than in SH (EUR 1080.24 versus EUR 1657.97) but there was no significant difference in effectiveness.
  • MLPPH was cost-effective (incremental cost-effectiveness ratio, −120 656.19 EUR/QALYs).

The authors concluded by stating that, "MLPPH was documented as a longer but the cost-effective procedure, it provided lower short-term pain, and Wexner and HSS scores."

Reference:

Haibo Yang, Zhan Shi, Wei Chen, Teng Chen, Peilin Ding, Jandong Wang, Jiazhi Gao, Modified ligation procedure for prolapsed haemorrhoids versus stapled haemorrhoidectomy for the management of symptomatic haemorrhoids (MoLish): randomized clinical trial, BJS Open, Volume 6, Issue 3, June 2022, zrac064, https://doi.org/10.1093/bjsopen/zrac064

BJS Open modified ligation procedure hemorrhoids stapled haemorrhoidectomy 
Source : BJS Open
Medha Baranwal
Medha Baranwal

    MSc. Biotechnology

    Medha Baranwal joined Medical Dialogues as an Editor in 2018 for Speciality Medical Dialogues. She covers several medical specialties including Cardiac Sciences, Dentistry, Diabetes and Endo, Diagnostics, ENT, Gastroenterology, Neurosciences, and Radiology. She has completed her Bachelors in Biomedical Sciences from DU and then pursued Masters in Biotechnology from Amity University. She has a working experience of 5 years in the field of medical research writing, scientific writing, content writing, and content management. She can be contacted at  editorial@medicaldialogues.in. Contact no. 011-43720751

    Show Full Article
    Next Story
    Similar Posts
    NO DATA FOUND

    Editorial

    Journal Club Today

    Health News Today

    © 2022 All Rights Reserved.
    Powered By: Hocalwire
    X
    X
    We use cookies for analytics, advertising and to improve our site. You agree to our use of cookies by continuing to use our site. To know more, see our Cookie Policy and Cookie Settings.Ok